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South Dakota rates for HCPCS 69511

Mastoidectomy Radical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.18 / $1,259.18 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.44 / $1,259.18 / $3,439.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,737.75 / $2,875.66 / $3,594.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.36 / $2,128.01 / $3,481.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.41 / $2,444.02 / $9,347.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.00 / $3,287.23 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.00 / $2,747.43 / $3,416.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.26 / $2,075.87 / $2,442.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.80 / $2,646.55 / $3,433.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,379.90 / $2,799.90 / $2,911.90